Individual
MR. SCOTT ALLAN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-8898
Mailing address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
(336) 716-8898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183468
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5004047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004047
NCBON
NC
Enumeration date
08/21/2008
Last updated
11/16/2012
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